NPI | 1588391437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23695) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AL 5777G) |
Enumeration Date | 2022-08-02 |
Last Update Date | 2024-10-10 |